[Prioritising measures for consolidating shared decision-making in the services rendered by the Spanish National Health System].
| Autor: | García-Altés A; Agència de Qualitat i Avaluació Sanitària de Catalunya, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigació Biomèdica Sant Pau, Barcelona, España. Electronic address: agarciaaltes@gencat.cat., Peiró M; Institute for Healthcare Management, ESADE Business School, Barcelona, España., Artells JJ; Salud, Comunicación y Gestión del Conocimiento, S.L., Barcelona, España. |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Gaceta sanitaria [Gac Sanit] 2019 Sep - Oct; Vol. 33 (5), pp. 408-414. Date of Electronic Publication: 2018 Jul 20. |
| DOI: | 10.1016/j.gaceta.2018.04.017 |
| Abstrakt: | Objective: Identify and prioritize according to their relevance, measures, interventions and indispensable instruments to support the establishment of a strategic framework in the Spanish National Health System to enable the responsible and informed exercise of the autonomy of its users and patients for shared decision-making. Method: Group consultation, structured according to procedures adapted from brainstorming techniques, nominal group and Rand consensus method. Results: The 10 panellists proposed 53 possible actions focusing on "macro" structural measures (legal support and explicit prioritization of shared decision-making on health policy, curricular measures of the teaching system and dynamisation of cultural change), "meso" (generation and dissemination of accredited information by specific research lines and instruments to help shared decision-making), and "micro" activities (measures to stimulate the introduction of shared decision-making in the agency relationship with citizen and users of the healthcare system). Conclusions: The consensus emerging from the consultation points to the need to incorporate into the strategic priorities of health policy, structural measures that support and encourage the development of shared decision-making in a number of specific areas of evolution and change in the relationship between health professionals and patients as an attribute of quality in access to the benefits and services of the public healthcare system. (Copyright © 2018 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.) |
| Databáze: | MEDLINE |
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